(C)
If a staff member is outside or alone in a room and
needed in the staff/child ratio, and running water is not readily
available ,
staff must thoroughly wash hands with soap and running water as soon as
staff/child ratio allows or upon re-entry to the building.
Hand sanitizer is permitted to be used by adults in the home
after wiping children's noses.

(D)
Children shall be instructed and assisted
as needed to wash their hands:

(E)
Standard
precautions are primarily designed to prevent the spread of diseases that are
spread by blood or other bodily fluids. Standard precautions are designed to
protect staff from potentially infections diseases and shall be followed as
described
in this rule.

(1)
Vinyl gloves shall be
worn during contact with blood or bodily fluids , such as vomit or feces, in which blood can be seen.

(2)
Disposal of materials that contain blood
requires a sealable, leakproof plastic bag or double bagging in plastic bags
that are securely tied.

(3)
Non-disposable items, such as clothing that contain blood shall be placed in a
sealable, leakproof plastic bag or double bagged in plastic bags that are
securely tied and sent home with the child.

(4)
Sharp items used for procedures on
children with special care needs, such as lancets for finger sticks or
syringes, require a disposable container called a
"sharps container". This is a container made out of durable, rigid material
which safely stores the lancets or needles until the parent can take them home
for disposal. Sharps containers must be stored out of the reach of
children.

(5)
Surfaces contaminated
with blood or bodily fluids containing blood shall first be cleaned with hot,
soapy water, and then sanitized with an appropriate bleach solution which is
prepared on a daily basis, following the product guidelines, or other
acceptable disinfectant solution which is environmental protection agency (EPA)
rated as hospital disinfectant with a label claim for mycobactericidal
activity.